About Joann Schulte

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All posts by Joann Schulte

Antibiotic Prophylaxis for Vesicoureteral Reflux

• June 6th, 2014

Are Charlie’s kidneys backed up?  Does he need antibiotics?  His parents want to know if 2-year-old Charlie is going to be on long-term antibiotics to prevent any new bladder infections.  He’s just finished treatment for a urinary tract infection (UTI).    You explain that a voiding cystourethrogram will need to be done first to categorize the… Read More…


Prevalence of Health Care–Associated Infections

• March 26th, 2014

Over 30 years ago, Dr. Robert Haley, now a professor of medicine at UT Southwestern in Dallas, led the CDC in pioneering work to apply epidemiology methods to hospital infection control.  The Study on the Efficacy of Nosocomial Infection Control Project (SENIC), published in 1985, found that hospitals with active infection control programs had 32%… Read More…


Intussusception Risk after Rotavirus Vaccination

• February 5th, 2014

Rotavirus vaccines have emerged as important vaccines in preventing severe childhood diarrhea and, in low-income countries, deaths.  As a class of vaccines, they have accelerated the development of surveillance systems to monitor vaccine safety. Two trials recently published in NEJM evaluated the risk of intussception in young infants in the context of the overall health benefits… Read More…


Origins of Obesity in Early Childhood

• January 29th, 2014

Adults who stuff their mouths with the wrong foods and don’t move their muscles often gain weight and may develop health problems such as obesity and diabetes as a consequence. Now there’s new evidence about how this scenario applies to children. In kindergarten, more than one in four U.S. children is overweight or obese, according… Read More…


Efficacy Trial of a DNA/rAd5 HIV-1 Preventive Vaccine

• November 27th, 2013

Gamblers, poker players, and Las Vegas casino visitors all have their schemes for when to hold their cards, when to fold, and which cards are keepers or losers. In medical research, those decisions belong mainly to a Data and Safety Monitoring Board (DSMB), an independent group of statistical and clinical experts who monitor patient safety… Read More…


Cesarean or Vaginal Delivery for Twins

• October 2nd, 2013

Twin births today are different than when I arrived as half of a pair.  Arriving as Twin A, I made a vaginal entrance head first as did my womb mate/brother, Twin B.  Such an arrival was not unexpected because duo debuts are a natural event occurring every generation in my family, but my parents weren’t… Read More…


Hypogonadism and Bodily Changes in Men

• September 12th, 2013

Mention “T” and an Englishman might anticipate an afternoon beverage, and golfers may check the time when their foursome is to leave the clubhouse.   But these days many men who hear that word will think you’re talking about testosterone replacement. At least 2.3 million testosterone prescriptions per year are written for men, and the use… Read More…


Vedolizumab Therapy for Ulcerative Colitis and Crohn’s Disease

• August 21st, 2013

A friend of mine, who has spent 15 years dealing with the ebbs and flows of ulcerative colitis (UC), is the kind of patient who would hope her physician pays attention to the results of two RCTs published this week in NEJM. She is one of an estimated 1.4 million Americans diagnosed with UC or… Read More…